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Mail your completed registration form
and payment to:
SourceMedia Inc., C & E
PO Box 71911
Chicago, IL 60694-1911
Fax your completed registration to
800-250-1811 or 212-803-8515
Phone in your registration to
800-803-3424 or 212-803-6093
|Attendee Type||Early Bird||Standard||On-Site|
|Insurance Carriers, Agents, & Brokers||$275||$325||$375|
|Women in Insurance Leadership Forum
and IASA’s Executive EDGE Forum**
** The Women in Insurance Leadership Forum and IASA’s Executive EDGE Forum Package is only available to Insurance Carriers, Agents and Brokers. If you have any questions please contact Jennifer Coniglio at 212.803.6071 or via email at email@example.com.
Find out more about the hotel accommodations and special discounted rates! » Click here
Please make checks payable to SourceMedia and include the name(s) of the attendee(s) on the face of the check. We accept American Express, Diners Club, Discover, Visa, and MasterCard. Registration fees include all meals, refreshment breaks, receptions and a copy of the conference workbook. In order to receive early bird discounts, special rates or promotions, full payment must be made prior to the offer expiration date. Any registration not paid in full at that time of offer expiration date will be subject to the current rate. Full Payment must be received 14 days prior to the event or your registration will automatically be cancelled. Registrations with declined or invalid credit cards will not be processed.
Substitutions and Cancellations:
Substitutions may be sent at any time. No refunds or letters of credit are available later than the event Cut Off Date (14 Days prior to start date). All cancellations must be made in writing, submitted within 90 days prior to the Cut Off Date of the event and will be subject to a cancellation fee equal to 50% off the registration fee or a Letter of Credit which will cause forfeiture of the entire registration fee but allow one admittance to a future SourceMedia event to be used in the same year. No refunds will be issued on any Exhibit Hall Only passes.
SourceMedia reserves the right to cancel an event at any time. SourceMedia reserves the right to replace or cancel speakers or make any other changes to the agenda without notice. All information is subject to change.
For more information regarding administrative policies such as complaints and refund, please contact our Offices at 800-803-3424.
SourceMedia Inc. is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be addressed to the National Registry of CPE Sponsors, 150 Fourth Avenue North, Suite 700, Nashville, TN, 37219-2417 or by visiting the web site: www.nasba.org
Course Level: Overview Anticipated CPE Credits: 11
For more information regarding administrative policies such as complaint and refund, please contact our Offices at 800-803-3424.
Instructional Delivery Method:
Group-live demonstration using color projection: Not hands-on
Prerequisites: None | Conference Level: All | Advance Preparation: None